Möbius: A Journal for Continuing Education Professionals in Health SciencesVolume 7, Issue 1 p. 71-73 Book Review Hypertension. A review of third issue of cyberlog. Michael G. Sormeyer, M.D. Morris Davidman, M.D. Patrick B. Storey M.D., Patrick B. Storey M.D. Associate Dean University of Pennsylvania Medical CenterSearch for more papers by this author Patrick B. Storey M.D., Patrick B. Storey M.D. Associate Dean University of Pennsylvania Medical CenterSearch for more papers by this author First published: 1987 https://doi.org/10.1002/chp.4760070112AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume7, Issue11987Pages 71-73 RelatedInformation
Two decades ago states were being urged to regard their medical education resources as elements of a national system. A thesis of this article is that national medical education resources should now be viewed in international or global terms. This point of view is of critical importance to Continuing Medical Education. CME can play an important role in establishing this perspective, This discussion will present first, the rationale or justification for a global view, and then describe the Annenberg Center's First International CME Conference held in December 1986 as well as plans for the second such event in 1988.
Medical specialty societies serve audiences that are in diverse environments and maintain a variety of practice profiles. The ability to meet the educational needs of such audiences is a challenge. Educational decisions, by necessity, are usually made by committees that meet infrequently and often base their decisions on their own experiences. The American College of Obstetricians and Gynecologists planned and carried out a needs assessment that provided a systematic approach to obtaining and reviewing data, identifying potential educational projects, and assigning priorities to those projects. This paper describes that process which incorporated use of a subcommittee, larger group process, and the Delphi technique.
This study examined physician attitudes toward structured self-directed learning. Questionnaire items, based on Malcolm Knowles' concept of the self-directed learner, were developed and utilized for the study Responses to the survey were tabulated to provide a score indicating whether the respondent held a favorable, neutral or unfavorable attitude toward structured self-directed learning, and the scores were compared with the variables of age and hours spent in structured self-directed learning activities. The physician data indicated a predominantly neutral or indifferent attitude toward structured self-directed learning. No spastically significant relationship was found between attitude and the age of the respondent. However, physicians having more favorable attitudes toward structured self-directed learning spent more hour per month engaged in such learning activities than did physicians with less favorable attitudes.
1 University Extension, University of California, Berkeley 2 Dean University Extension. UC Berkeley, 2223 Fulton Street, Berkeley, CA 94720
Historically the ever increasing complexity of health technology, plus the concern for maintaining high standards, forced the health professions into the forefront of developing and implementing in-service training for their members. Today in industrialized countries and developing countries alike, every health care institution recognizes in-service training as essential and allocates resources to support it. However, an important question remains: How effective is this in-service training? Based on their experiences in more than twenty developing countries, the authors suggest that much of the in-service training being provided for health care workers is not effective. This paper discusses the reasons for this failure and then recommends how health institutions in developing countries can make their in-service training more effective, i.e., how to ensure that their in-service training prepares health care workers to meet actual community health needs.
Mobius: A Journal for Continuing Education Professionals in Health Sciences 7(2):p 30-31, | DOI: 10.1002/chp.4760070206
The explosion of new knowledge and increased specialization have heightened the nurse's need for continuing education. The concepts of motivation, obsolescence, competence, and lifelong learning are inherent in the continuing education process. These concepts and the theories of learning and change are presented and related to nursing practice.
Using a needs assessment based on a consumer opinion study, a series of seminars on "The Art of Medicine" was set up for medical staff in a large health maintenance organization. Taught by fifteen staff physicians who underwent a facilitator training program, the seminars focused on physician-patient relationships, with participants encouraged to reflect on successful interactions, particularly focusing on their own behavior. A syllabus included eleven observations for successful medical encounters, literature abstracts, and sample case studies. Qualitative evaluation indicated a positive response to the seminars, and further offerings on similar topics are planned.
An adequate patient base is critical to the survival of tertiary care institutions. Since referring physicians send a significant portion of their patients to the teaching center, effective communication with them is vital. A survey of the physicians who refer patients to The University of Virginia Medical Center revealed certain hospital services that needed improvement. Their responses also led researchers to recognize graduate and continuing medical education programs as valuable marketing vehicles that can support the academic medical center. As a result of the survey project, The University of Virginia Medical Center was able to strengthen the contacts with practicing physicians and increase the visibility of the Center's medical expertise and special technology. Drawing on the marketing concept of the derived demand, the referring physician's connection to the tertiary care hospital becomes clear. As he searches for the best health care for his patient, he also helps to maintain an adequate patient base for the tertiary hospital. Responding to the referring physician's opinions and needs is a viable approach to increasing referrals to the tertiary care center.
“The research, teaching and public service mission of major academic centers find a unique point of convergence in the educational triad that is continuing professional education. Researchers, educators and practitioners come together as colleagues; each possesses an eagerness to learn from and share with one another and the interaction between the academic and health care sectors creates a conduit through which research findings and academic theory may not only be reported but quickly applied and evaluated in practice”.
1 CME Programme, HSC-lM6, McMaster University, 1200 Main Street, West, Hamilton, Ontario IBN 325 Canada CME Programme, HSC-lM6, McMaster University, 1200 Main Street, West, Hamilton, Ontario IBN 325 Canada a Dr. Davis is director, Continuing Medical Education Program for the Faculty of Health Science, McMaster University, Hamilton, Ontario; and associate clinical professor, Department of Family Medicine. He is in private family practice in Burlington, Ontario. His research interest currently focuses on the evaluation of CME outcomes.
Continuing medical education activities have been increasingly equated with highly structured, short-term courses for large scale dissemination of information via lectures. A preliminary inquiry into other Learning experiences reveals a busy network of informal, individualized activities. Faculty responded to a survey describing personally arranged visits from physicians. Further study into the informal networks may more fully describe the current status of alternate forms of continuing medical education.
The literature evaluating the effectiveness of continuing education in dentistry is reviewed critically. Only 16 studies have been reported in 25 years, and twelve of these have employed uncontrolled research designs. Six of the studies have made use of objective clinical process and patient health outcomes. The levels of effectiveness of continuing dental education (CDE) reported by the studies have tended to be low, and no distinctions in effectiveness can be made among CDE methods. This virtual absence of knowledge concerning effectiveness may handicap the dental profession's efforts to develop the more extensive interventions thought to be necessary in the future.
Möbius: A Journal for Continuing Education Professionals in Health SciencesVolume 7, Issue 4 p. 115-120 Article Medical informatics and communications technology the rationale for the interactive videodisc in continuing education Dr. David M. E. Allan M.D., Corresponding Author Dr. David M. E. Allan M.D. Intelligent Images Incorporated, 5510 Morehouse Drive, Suite 210, San Diego, CA 92121 Dr Allan is the executive vice president and founder of Intelligent Images Incorporated a company formed in 1983 to produce and market interactive educational materials for specific purposes. He is currently responsible for the design and development of educational materials for health professionals working in critical and emergency care. Before founding Intelligent Images, he was associate dean for Continuing Education in the Health Sciences at the University of California. San Diego School of Medicine. Dr Man's current areas of interest and work are in getting education into the workplace rather than the lecture room and in teaching decision making and problem solving. He is a Board-certified pediatrician and associate clinical professor of pediatrics at the University of California, San Diego.Intelligent Images Incorporated, 5510 Morehouse Drive, Suite 210, San Diego, CA 92121Search for more papers by this author Dr. David M. E. Allan M.D., Corresponding Author Dr. David M. E. Allan M.D. Intelligent Images Incorporated, 5510 Morehouse Drive, Suite 210, San Diego, CA 92121 Dr Allan is the executive vice president and founder of Intelligent Images Incorporated a company formed in 1983 to produce and market interactive educational materials for specific purposes. He is currently responsible for the design and development of educational materials for health professionals working in critical and emergency care. Before founding Intelligent Images, he was associate dean for Continuing Education in the Health Sciences at the University of California. San Diego School of Medicine. Dr Man's current areas of interest and work are in getting education into the workplace rather than the lecture room and in teaching decision making and problem solving. He is a Board-certified pediatrician and associate clinical professor of pediatrics at the University of California, San Diego.Intelligent Images Incorporated, 5510 Morehouse Drive, Suite 210, San Diego, CA 92121Search for more papers by this author First published: 1987 https://doi.org/10.1002/chp.4760070416 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume7, Issue41987Pages 115-120 RelatedInformation
The CME needs and degree of competency in managing 28 rheumatic disorders were assessed in a 20 percent stratified random sample of Illinois-based primary care physicians. Using a hierarchial scale of management complexity, the survey questionnaire was designed to test both the perceived level of competency and the level at which primary care physicians should be competent, the difference representing the need for CME. Demographic data from the respondents (19% of the entire survey), segregated into data from internists (n=225) and non-internists (n= 133), were similar. Although 57 percent of the entire group attended at least one ME program in rheumatology in the preceding 24 months, 67 percent (internists 62%; non-internists, 71%) were not satisfied with their current level of knowledge. This was rejected in the inability of non-internists to diagnose a number of less common diseases and the difficulty of both groups in long-term management. Not surprisingly, CME needs are inversely correlated with reported competency (internists, r= -.847, p<.0001; non-internists, r= −.680, p<,001) However CME content is different for each group. CME programs on the management of chronic rheumatic diseases are needed by both groups, with non-internists needing help to enhance their diagnostic skills. A correlation between competency score and frequency of consultation with a rheumatologist (internists, r =.394, p <, 001; non-internists, r = 829, p<.0002) suggests that proper diagnosis and initiation of firstline treatment are prerequisites for this practice behavior: In addition, the low rate of consultation for all diseases (internists, 23%; non-internists, 13%), which falls far below the expected consultation frequency (internists, 48%; non-internists, 43%), further impedes educational opportunities. These data suggest that CME in rheumatology should be directed toward disease recognition and management expertise, including the proper disposition of consultation.
This essay argues for the use of a humanistic film by Kurosawa, Ikiru (To Live), for the study of suffering and compassion in continuing education seminars for health care practitioners. Set in 1952 in Japan, Ikiru is the story of a bureaucrat, Kanji Watanabe, who learns he is going to die and is aroused to search for affirmation in his life. A quasi adaptation of Tolstoi's novel The Death of Ivan Ilych, this film has the ability to poignantly instruct practitioners on the deeper tissues of moral and spiritual suffering and on the unnecessary repressions which lead to passive lives devoid of caring.
To determine whether self-identified independent learners differed significantly from their colleagues regarding preferred learning methods or sources of information, this study assessed physicians who scheduled independent learning activities through the Office of Continuing Medical Education and physicians who attended a traditional CME refresher course. Both groups rated learning methods similarly, scored the same on an adapted version of Stone's Preferred Learning Style Index and rated information sources similarly When asked about time spent in patient-related activities, time spent on-call and time spent in leisure activities, the groups differed somewhat in terms of how preferred learning methods and sources of information related to the time variables. The authors suggest that future researchers explore learning style in relation to the content to be learned, rather than as a global construct.
Möbius: A Journal for Continuing Education Professionals in Health SciencesVolume 7, Issue 3 p. 63-64 Editorial A global view of continuing medical education Malcolm S. M. Watts M.D., Malcolm S. M. Watts M.D.Search for more papers by this author Malcolm S. M. Watts M.D., Malcolm S. M. Watts M.D.Search for more papers by this author First published: 1987 https://doi.org/10.1002/chp.4760070313AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article. Volume7, Issue31987Pages 63-64 RelatedInformation
The following is a report of a four-week continuing education seminar in the history of medical ethics that was conducted for health care practitioners at Galveston in 1978. Its scope and contents were quite different from that of traditional CME programs. Some background information will set the stage for a closer look at this humanities seminar.
